The Impact of the COVID-19 Pandemic on Chinese Postgraduate Students’ Mental Health
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Data Analysis
2.3. Measures
2.3.1. Self-Rating Anxiety Scale (SAS)
2.3.2. Self-Rating Depression Scale (SDS)
2.3.3. Social Avoidance and Distress Scale (SAD)
3. Results
3.1. Anxiety and Depression
3.2. Social Anxiety
3.3. Comparison of Mental Health Statuses of Postgraduate Students
3.3.1. Gender-Based Differences
3.3.2. Degree Type-Based Differences
3.3.3. Professional Background-Based Differences
3.3.4. Teaching Method-Based Differences
3.3.5. Communication Mode-Based Differences
4. Discussion
4.1. Mental Health of Postgraduate Students
4.2. Influence of Professional Background and Degree Type
4.3. Influence of Communnication Modes
4.4. Suggestions
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- UNESCO. COVID-19 Impact on Education: From Disruption to Recovery. Available online: https://en.unesco.org/COVID19/educationresponse (accessed on 5 January 2021).
- Cao, W.; Fang, Z.; Hou, G.; Han, M.; Zheng, J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020, 287, 112934. [Google Scholar] [CrossRef]
- Abelskamp, G.E.; Santamarinam, J.C. Academia during the COVID-19 Pandemic: A Study within the Geo-Science and Engineering Field. Available online: http://alertgeomaterials.eu/data/posts/Abelskamp_and_Santamarina_2020_Academia_During_COVID19Pandemic.pdf (accessed on 15 June 2020).
- Owusu-Fordjour, C.; Koomson, C.K.; Hanson, D. The impact of COVID-19 on learning—The perspective of the Ghanaian student. Eur. J. Educ. Stud. 2020, 7, 1–14. [Google Scholar] [CrossRef]
- Kaparounaki, C.K.; Patsali, M.E.; Mousa, D.-P.V.; Papadopoulou, E.V.; Papadopoulou, K.K.; Fountoulakis, K.N. University students’ mental health amidst the COVID-19 quarantine in Greece. Psychiatry Res. 2020, 290, 113111. [Google Scholar] [CrossRef] [PubMed]
- Ma, H.; Miller, C. Trapped in a Double Bind: Chinese Overseas Student Anxiety during the COVID-19 Pandemic. Health Commun. 2020, 36, 1598–1605. [Google Scholar] [CrossRef]
- Zupo, R.; Castellana, F.; Sardone, R.; Sila, A.; Giagulli, V.A.; Triggiani, V.; Cincione, R.I.; Giannelli, G.; De Pergola, G. Preliminary Trajectories in Dietary Behaviors during the COVID-19 Pandemic: A Public Health Call to Action to Face Obesity. Int. J. Environ. Res. Public Health 2020, 17, 7073. [Google Scholar] [CrossRef]
- Pan, H. A Glimpse of University Students’ Family Life Amidst the COVID-19 Virus. J. Loss Trauma 2020, 25, 594–597. [Google Scholar] [CrossRef] [Green Version]
- De Vos, J. The effect of COVID-19 and subsequent social distancing on travel behavior. Transp. Res. Interdiscip. Perspect. 2020, 5, 100121. [Google Scholar] [CrossRef]
- Rodríguez-Larrad, A.; Mañas, A.; Labayen, I.; González-Gross, M.; Espin, A.; Aznar, S.; Serrano-Sánchez, J.A.; Vera-Garcia, F.J.; González-Lamuño, D.; Ara, I.; et al. Impact of COVID-19 Confinement on Physical Activity and Sedentary Behaviour in Spanish University Students: Role of Gender. Int. J. Environ. Res. Public Health 2021, 18, 369. [Google Scholar] [CrossRef] [PubMed]
- Gallè, F.; Sabella, E.A.; Ferracuti, S.; De Giglio, O.; Caggiano, G.; Protano, C.; Valeriani, F.; Parisi, E.A.; Valerio, G.; Liguori, G.; et al. Sedentary Behaviors and Physical Activity of Italian Undergraduate Students during Lockdown at the Time of COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2020, 17, 6171. [Google Scholar] [CrossRef]
- Zhou, S.-J.; Wang, L.-L.; Yang, R.; Yang, X.-J.; Zhang, L.-G.; Guo, Z.-C.; Chen, J.-C.; Wang, J.-Q.; Chen, J.-X. Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic. Sleep Med. 2020, 74, 39–47. [Google Scholar] [CrossRef] [PubMed]
- Marelli, S.; Castelnuovo, A.; Somma, A.; Castronovo, V.; Mombelli, S.; Bottoni, D.; Leitner, C.; Fossati, A.; Ferini-Strambi, L. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J. Neurol. 2020, 268, 8–15. [Google Scholar] [CrossRef]
- Brooks, S.K.; Webster, R.; Smith, L.E.; Woodland, L.; Wessely, S.; Greenberg, N.; Rubin, G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020, 395, 912–920. [Google Scholar] [CrossRef] [Green Version]
- Perz, C.A.; Lang, B.A.; Harrington, R. Validation of the Fear of COVID-19 Scale in a US College Sample. Int. J. Ment. Health Addict. 2020, 1–11. [Google Scholar] [CrossRef] [PubMed]
- National Education Development Statistical Bulletin in 2020. Available online: http://www.moe.gov.cn/jyb_sjzl/sjzl_fztjgb/202108/t20210827_555004.html (accessed on 27 August 2021).
- Hien, L.; Veria, K.; Piotr, K.; Agata, M.; Justyna, S.; Jacek, B.; Khosrawipour, T. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. J. Travel Med. 2020, 27, 3. [Google Scholar]
- Mei, C. Policy style, consistency and the effectiveness of the policy mix in China’s fight against COVID-19. Policy Soc. 2020, 3, 309–325. [Google Scholar] [CrossRef]
- Zheng, L.; Miao, M.; Lim, J.Y.; Li, M.; Zhang, X. Is lockdown bad for social anxiety in COVID-19 regions? A national study in the SOR perspective. Int. J. Environ. Res. Public Health 2020, 17, 4561. [Google Scholar] [CrossRef] [PubMed]
- Chang, J.; Yuan, Y.; Wang, D. Mental health status and its influencing factors among college students during the epidemic of COVID-19. J. South. Med. Univ. 2020, 40, 171–176. [Google Scholar]
- Sundarasen, S.; Chinna, K.; Kamaludin, K.; Nurunnabi, M.; Baloch, G.M.; Khoshaim, H.B.; Hossain, S.F.A.; Sukayt, A. Psychological Impact of COVID-19 and Lockdown among University Students in Malaysia: Implications and Policy Recommendations. Int. J. Environ. Res. Public Health 2020, 17, 6206. [Google Scholar] [CrossRef] [PubMed]
- Khan, A.H.; Sultana, M.S.; Hossain, S.; Hasan, M.T.; Ahmed, H.U.; Sikder, T. The impact of COVID-19 pandemic on mental health & wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study. J. Affect. Disord. 2020, 277, 121–128. [Google Scholar] [CrossRef]
- Fountoulakis, K.N.; Apostolidou, M.K.; Atsiova, M.B.; Filippidou, A.K.; Florou, A.K.; Gousiou, D.S.; Katsara, A.R.; Mantzari, S.N.; Padouva-Markoulaki, M.; Papatriantafyllou, E.I.; et al. Self-reported changes in anxiety, depression and suicidality during the COVID-19 lockdown in Greece. J. Affect. Disord. 2020, 279, 624–629. [Google Scholar] [CrossRef] [PubMed]
- Odriozola-González, P.; Planchuelo-Gómez, A.; Irurtia, M.J.; de Luis-García, R. Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Res. 2020, 290, 113108. [Google Scholar] [CrossRef] [PubMed]
- Rehman, U.; Shahnawaz, M.G.; Khan, N.H.; Kharshiing, K.D.; Khursheed, M.; Gupta, K.; Kashyap, D.; Uniyal, R. Depression, Anxiety and Stress Among Indians in Times of COVID-19 Lockdown. Community Ment. Health J. 2020, 57, 42–48. [Google Scholar] [CrossRef]
- Grover, S.; Sahoo, S.; Mehra, A.; Avasthi, A.; Tripathi, A.; Subramanyan, A.; Pattojoshi, A.; Rao, G.P.; Saha, G.; Mishra, K.K.; et al. Psychological impact of COVID-19 lockdown: An online survey from India. Indian J. Psychiatry 2020, 62, 354–362. [Google Scholar] [CrossRef] [PubMed]
- Niu, X.; Li, H.; Li, J. The impact of female college students’ pressure perception on anxiety under the back-ground of normalization of COVID-19 prevention and control: A moderated mediation model. China J. Health Psychol. 2021, 29, 1622–1626. [Google Scholar]
- Wang, M.Y.; Xie, Q.E.; Liu, Y.J. A Survey on Psychological Depression of Postgraduates in the Epidemic of COVID-19. Sci. Educ. Artic. Collect. 2020, 33, 159–161. [Google Scholar]
- Zhao, D.J.; Xu, J.Y.; Sun, Q.Z.; Zhang, Y.; Sha, J.B. Study on the Present Situation of Body and Mind of Master Students. J. Beijing Sport Univ. 2003, 26, 746–748. [Google Scholar]
- Barry, K.M.; Woods, M.; Warnecke, E.; Stirling, C.; Martin, A. Psychological health of doctoral candidates, study-related challenges and perceived performance. High. Educ. Res. Dev. 2017, 37, 468–483. [Google Scholar] [CrossRef]
- Turner, M.; Scott-Young, C.; Holdsworth, S. Developing the resilient project professional: Examining the student experience. Int. J. Manag. Proj. Bus. 2018, 12, 716–729. [Google Scholar] [CrossRef]
- Zung, W.W. A Rating Instrument for Anxiety Disorders. Psychosomatics 1971, 12, 371–379. [Google Scholar] [CrossRef]
- Zung, W.W.K. A self-rating depression scale. Arch. Gen. Psychiatry 1965, 12, 63–70. [Google Scholar] [CrossRef]
- Watson, D.; Friend, R. Measurement of social-evaluative anxiety. J. Consult. Clin. Psychol. 1969, 33, 448–457. [Google Scholar] [CrossRef]
- Wu, X.; Peng, L.; Luo, J.; Sun, R.; Wang, Z.; Xiang, Y. Analysis on the Anxiety and Depression Self-rating Scale Result s in a Medical College Graduate Students. J. Kunming Med. Univ. 2013, 34, 39–42. [Google Scholar]
- Wang, J. Exploration on Mental Health and Educational Program of Professional Graduate Students; Army Medical University: Chongqing, China, 2017. [Google Scholar]
- Mao, S.; Luo, S.; Li, F.; Zhang, B.; Wang, P.; Li, M.; Wu, S. Research on the anxiety and depression status of medical postgraduates in the late epidemic. J. Harbin Med. Univ. 2020, 54, 560–563. [Google Scholar]
- Jiang, S.; Wang, B.; Huang, Q. A meta-analysis Chinese postgraduates’ mental health in the past fifteen years. J. Henan Polytech. Univ. (Soc. Sci.) 2016, 17, 509–514. [Google Scholar]
- Hone, K.S.; El Said, G.R. Exploring the factors affecting MOOC retention: A survey study. Comput. Educ. 2016, 98, 157–168. [Google Scholar] [CrossRef] [Green Version]
- Müller, F.; Röhr, S.; Reininghaus, U.; Riedel-Heller, S. Social Isolation and Loneliness during COVID-19 Lockdown: Associations with Depressive Symptoms in the German Old-Age Population. Int. J. Environ. Res. Public Health 2021, 18, 3615. [Google Scholar] [CrossRef]
- Varga, T.V.; Bu, F.; Dissing, A.S.; Elsenburg, L.K.; Bustamante, J.J.H.; Matta, J.; van Zon, S.K.; Brouwer, S.; Bültmann, U.; Fancourt, D.; et al. Loneliness, worries, anxiety, and precautionary behaviours in response to the COVID-19 pandemic: A longitudinal analysis of 200,000 Western and Northern Europeans. Lancet Reg. Health Eur. 2021, 2, 100020. [Google Scholar] [CrossRef] [PubMed]
- Elmer, T.; Mepham, K.; Stadtfeld, C. Students under lockdown: Comparisons of students’ social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS ONE 2020, 15, e0236337. [Google Scholar] [CrossRef] [PubMed]
- Av, A.; Rjma, B.; Jomgh, A. Gender differences in the mental health impact of the COVID-19 lockdown: Longitudinal evidence from the Netherlands. SSM Popul. Health 2021, 15, 100878. [Google Scholar] [CrossRef]
- Ren, X.; Huang, W.; Pan, H.; Huang, T.; Ma, Y. Mental health during the COVID-19 outbreak in China: A meta-analysis. Psychiatr. Q. 2020, 91, 1033–1045. [Google Scholar] [CrossRef]
- McGinty, E.E.; Presskreischer, R.; Han, H.; Barry, C.L. Psychological Distress and Loneliness Reported by US Adults in 2018 and April 2020. JAMA 2020, 324, 93. [Google Scholar] [CrossRef]
- Pierce, M.; Hope, H.; Ford, T.; Hatch, S.; Hotopf, M.; John, A.; Kontopantelis, E.; Webb, R.; Wessely, S.; McManus, S.; et al. Mental health before and during the COVID-19 pandemic: A longitudinal probability sample survey of the UK population. Lancet Psychiatry 2020, 7, 883–892. [Google Scholar] [CrossRef]
- Hasan, N.; Bao, Y. Impact of “e-learning crack-up” perception on psychological distress among college students during COVID-19 pandemic: A mediating role of “fear of academic year loss”. Child. Youth Serv. Rev. 2020, 118, 105355. [Google Scholar] [CrossRef] [PubMed]
- Wang, H.; Huang, Q.; Yin, H.; Guo, J.; Li, Z. Investigation of Mental Health of Postgraduates and Analysis on Influence Factors during the COVID-19. China J. Health Psychol. 2020, 10, 1477–1483. [Google Scholar]
- Shi, Q.; Wang, Z.; Wang, Y. Investigation and analysis of mental health status of postgraduates. Mod. Educ. Sci. 2003, 3, 27–29. [Google Scholar]
- Posselt, J.R.; Ketchen, L.S. Competition, anxiety, and depression in the college classroom: Variations by student identity and field of study. J. Coll. Stud. Dev. 2016, 57, 973–989. [Google Scholar] [CrossRef]
- Li, J.; Zhou, L.; Van Der Heijden, B.; Li, S.; Tao, H.; Guo, Z. Social Isolation, Loneliness and Well-Being: The Impact of WeChat Use Intensity During the COVID-19 Pandemic in China. Front. Psychol. 2021, 12, 707667. [Google Scholar] [CrossRef] [PubMed]
- Rahiem, M.D. Remaining motivated despite the limitations: University students’ learning propensity during the COVID-19 pandemic. Child. Youth Serv. Rev. 2020, 120, 105802. [Google Scholar] [CrossRef]
- Gabbiadini, A.; Baldissarri, C.; Durante, F.; Valtorta, R.R.; De Rosa, M.; Gallucci, M. Together Apart: The Mitigating Role of Digital Communication Technologies on Negative Affect During the COVID-19 Outbreak in Italy. Front. Psychol. 2020, 11, 554678. [Google Scholar] [CrossRef] [PubMed]
Participants | Norms | t | |||
---|---|---|---|---|---|
M | SD | M | SD | ||
SAS | 42.60 | 9.85 | 29.78 | 5.46 | 72.91 *** |
SDS | 47.58 | 11.02 | 41.88 | 10.57 | 28.97 *** |
Authors | Year | n | Research Objects | Rate of Anxiety | Rate of Depression |
---|---|---|---|---|---|
Wu X et al. [35] | 2013 | 177 | Graduate School of Medicine. | 10.7% | 24.3% |
Wang Juan [36] | 2017 | 941 | Professional degree postgraduate students from 3 universities in Chongqing. | 2.6% | 8.5% |
Chang J et al. [20] | 2020 | 3881 | Guangdong University Students. | 26.60% | -- |
Mao S et al. [37] | 2020 | 240 | Medical postgraduate student of a university. | 24.17% | 38.75% |
This study | 2021 | 3137 | China postgraduate students. | 20.91% | 33.88% |
Participant | Norm | t | |||
---|---|---|---|---|---|
M | SD | M | SD | ||
Social avoidance | 6.51 | 3.91 | 4.14 | 2.62 | 34.00 *** |
Social distress | 6.16 | 4.20 | 3.92 | 3.1 | 29.87 *** |
Total SAD | 12.67 | 7.71 | 8.03 | 4.64 | 33.73 *** |
Postgraduate Category | n | Statistics | Anxiety | Depression | Social Anxiety | |
---|---|---|---|---|---|---|
Gender | Male | 672 | 42.09 ± 10.15 | 46.92 ± 11.43 | 12.20 ± 7.76 | |
Female | 2465 | 42.75 ± 9.77 | 47.76 ± 10.91 | 12.80 ± 7.69 | ||
t | 2.38 | 3.10 | 3.26 | |||
p | 0.123 | 0.078 | 0.071 | |||
Degree type | Academic | 1142 | 43.08 ± 10.32 | 47.97 ± 11.24 | 13.11 ± 7.77 | |
Professional | 1695 | 42.20 ± 9.42 | 47.25 ± 10.83 | 12.31 ± 7.64 | ||
t | 6.15 | 3.39 | 8.04 | |||
p | 0.013 * | 0.066 | 0.004 ** | |||
Professional type | Science and engineering | 456 | 42.92 ± 9.51 | 47.99 ± 11.26 | 12.90 ± 7.55 | |
Liberal arts | 487 | 43.42 ± 10.25 | 48.98 ± 11.53 | 12.99 ± 7.45 | ||
Social science | 2194 | 42.36 ± 9.83 | 47.19 ± 10. 84 | 12.56 ± 7.80 | ||
F | 2.59 | 5.65 | 0.87 | |||
p | 0.075 | 0.004 ** | 0.419 | |||
Teaching method | Online teaching | 253 | 44.35 ± 11.36 | 49.34 ± 11.66 | 13.34 ± 7.77 | |
Mixed teaching | 864 | 43.38 ± 10.43 | 47.76 ± 11.46 | 11.76 ± 7.71 | ||
Offline Teaching | 2020 | 42.06 ± 9.34 | 47.28 ± 10.73 | 12.98 ± 7.67 | ||
F | 9.82 | 4.07 | 8.74 | |||
p | 0.000 *** | 0.017 * | 0.000 *** | |||
Communication mode with advisors | Telephone | 266 | 43.3 ± 10.08 | 48.50 ± 11.48 | 11.93 ± 7.54 | |
Face to face | 1391 | 41.74 ± 9.38 | 46.65 ± 10.82 | 12.48 ± 7.69 | ||
video | 193 | 42.59 ± 10.22 | 47.07 ± 10.89 | 11.62 ± 7.81 | ||
Character communication | 1287 | 43.40 ± 10.18 | 48.87 ± 11.09 | 13.20 ± 7.72 | ||
F | 6.84 | 6.9 | 4.29 | |||
p | 0.000 *** | 0.000 *** | 0.005 ** | |||
Communication mode with peers | Telephone | 119 | 43.19 ± 10.38 | 48.28 ± 11.67 | 11.46 ± 6.97 | |
Face to face | 1154 | 41.73 ± 9.43 | 46.69 ± 10.67 | 12.55 ± 7.73 | ||
Video | 111 | 44.31 ± 10.74 | 48.76 ± 11.98 | 10.68 ± 6.91 | ||
Character communication | 1353 | 43.42 ± 10.12 | 48.44 ± 11.22 | 13.08 ± 7.7 | ||
F | 8.41 | 6.73 | 4.85 | |||
p | 0.000 *** | 0.000 *** | 0.002 ** |
df | SS | MS | F | p | |
---|---|---|---|---|---|
Communication mode with advisors | 1 | 1924 | 1923.7 | 20.70 | 0 *** |
Communication mode with peers | 1 | 758 | 757.5 | 8.152 | 0 *** |
Interaction | 1 | 674 | 673.7 | 7.25 | 0 *** |
Residual | 2825 | 262,494 | 92.9 |
df | SS | MS | F | p | |
---|---|---|---|---|---|
Communication mode with advisors | 1 | 2401 | 2401.4 | 20.341 | 0 *** |
Communication mode with peers | 1 | 836 | 835.9 | 7.081 | 0 *** |
Interaction | 1 | 766 | 766.3 | 6.491 | 0.01 * |
Residual | 2825 | 333,507 | 118.1 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Liang, Z.; Kang, D.; Zhang, M.; Xia, Y.; Zeng, Q. The Impact of the COVID-19 Pandemic on Chinese Postgraduate Students’ Mental Health. Int. J. Environ. Res. Public Health 2021, 18, 11542. https://doi.org/10.3390/ijerph182111542
Liang Z, Kang D, Zhang M, Xia Y, Zeng Q. The Impact of the COVID-19 Pandemic on Chinese Postgraduate Students’ Mental Health. International Journal of Environmental Research and Public Health. 2021; 18(21):11542. https://doi.org/10.3390/ijerph182111542
Chicago/Turabian StyleLiang, Zhengyan, Derong Kang, Minqiang Zhang, Yuanlin Xia, and Qing Zeng. 2021. "The Impact of the COVID-19 Pandemic on Chinese Postgraduate Students’ Mental Health" International Journal of Environmental Research and Public Health 18, no. 21: 11542. https://doi.org/10.3390/ijerph182111542
APA StyleLiang, Z., Kang, D., Zhang, M., Xia, Y., & Zeng, Q. (2021). The Impact of the COVID-19 Pandemic on Chinese Postgraduate Students’ Mental Health. International Journal of Environmental Research and Public Health, 18(21), 11542. https://doi.org/10.3390/ijerph182111542